Wednesday, September 2, 2020

Case study analysis Essay Example | Topics and Well Written Essays - 750 words - 3

Contextual investigation examination - Essay Example For resorts, these mechanical points of interest opened new open doors regarding contribution in time-sharing tasks and the improvement of new properties, for example, entertainment centered lodging and better quality lodging. In Florida the housing business was encountering the time of changes of significant net development with the resorts’ inhabitance to remain impressively higher than in some other locale of U.S. Being a piece of Playa Dorada, Inc. situated in Deerfield Beach, Florida, the Tennis Club experienced its high occasions with 26,6% of all guests to be engaged with such action. Nonetheless, the current executive Douglas Hall perceived the two fundamental issues that were worth consideration: absence of limit and valuing structure. In this specific situation, the principle concerns were to handle such issues to empower more guests utilize tennis courts. Regardless of the twenty-three courts accessible for the guests, the vast majority of them were involved in the most utilized hours. As an answer for the issue, Hall thought of building additional courts as a similar expense, be that as it may, they would carry an overal deficit to the organization. Likewise, new courts would require dup lication of offices that alongside administration staff would carry more noteworthy expense to the retreat. While the issue with limit was difficult to determine, the estimating structure could be utilized by Hall as moving of the circumstance. Through unique evaluating plans, advancements and extra administrations, the Tennis Club could actualize changes per court charge, for example, pairs play. Notwithstanding the decrease in income in copies play, more visitors would have the option to utilize the court. Through execution of less charges for hard-surface court, the organization would make it more cost reasonable. Furthermore, the tennis and rebate plans would likewise move the utilization of hard-surface courts for the grown-up customers to play while more youthful players would be offered half off following two hours of play on hard-surface court. To make the tennis courts accessible to more individuals, there is motivation to thoroughly consider the reason

Saturday, August 22, 2020

Innovations In Health And Social Care Social Work Essay Essay Example

Advancements In Health And Social Care Social Work Essay Example Advancements In Health And Social Care Social Work Essay Developments In Health And Social Care Social Work Essay This paper will try to place, correlation and difference two innovatory adjustments which include taken topographic point inside Health and Social Care. This paper will talk the picked creations and research them in profundity elucidating the considerations, history and issues environing them. It will focus on issues, for example, drivers for adjustment, qualities and research. It has been hard trying to make up ones psyche on two creations to talk inside this paper as there are numerous developments inside Health and Social Care and increasingly advancing every twenty-four hours. The two that I have chosen to focus on are that of Certain Start and esteeming individuals now. The Certain Start program rose up out of the work authoritiess complete payment reappraisal, set up not long after they came into power in 1997. This included a far reaching site reappraisal of specialists segments each piece great as setting six cross cutting reappraisals one of which included administrations for youthful individuals. ( www.dhsspsni.gov.uk/surestartprogramme ) Certain Start unites Childcare and early guidance, wellbeing and family unit bolster administrations for families with kids under 5 mature ages old enough. It is the premise of the authoritiess drives to embrace youngster destitution and cultural prohibition working with guardians to be, guardians, carers and children to propel the physical, discerning and cultural improvement of darlings and juvenile children so they can blast at place and at school. Certain Start unites administration providers from the legal segment like Health, Social Services and early guidance each piece great as willful, private and network organizations and guardians themselves to flexibly consolidate administrations for youthful children and their family units dependent on what neighborhood kids need and guardians need. ( www.dcsf.gov.uk ) The considerations for Certain Start were created because of the requests and requests of children, guardians and family units. The undermentioned examines the model about where this innovation originated from. The 1998 Green Paper run intoing the kid care challenge is a noteworthy papers that sets out the national youngster care conspire. The reason for the plan is to ensure acceptable quality minimal effort kid consideration for kids matured 0-4 in each region including both proper youngster care and back uping casual understandings by raising the nature of consideration and doing kid care progressively available by expanding topographic focuses and bettering data. In September 2003 Every Child Matters a green paper was distributed for crowd this framed part of the authoritiess reaction to the enquiry attempted into the perish of Victoria Climbie and built up a model for building on the achievement of nearby Sure Start projects to augment preventive administrations by focusing on the cardinal subjects. It expanded the point of convergence on back uping family units and carers guaranting important mediation before kids arrive at emergency point and purposes to shield kids from falling through the net. It will go to the verifiable in occupations recognized in the Victoria Climbie request investigation of powerless answerability and hapless coordinating guaranting that the individuals working with kids are values compensated and prepared. ( www.helensandersonassociates.co.uk ) The green paper other than presented a positive vision of the outcomes it wished to achieve. The five outcomes have been distinguished through crowd with kids, youthful individuals and their families. Those that made a difference most to the children were: To be solid To do a positive part To stay safe To achieve monetary prosperity To luxuriate and achieve This crowd gave clear indorsement to the specialists programs for fanatic and constructive adjustment for the way in which legal, intentional and network based administrations react to recognized requests of children, youthful individuals and their family units. ( Every Child Matters ) In December 2006 the National review office gave an account of Children s Centers recognized a figure of nations for improvement. The interest to make more to put family units with the greatest levels of popularity and do them perceptive of the administrations on offer and help them course the administrations. It recognized that the utilization if solid plans were expected to pass on administrations to those families and progressively should have been improved administrations for male guardians, guardians of children with disablements and for social minorities in nations with littler minority populaces. Progressively needful to be done to in raising the nature of administrations and doing them increasingly pertinent to the requests of solitary guardians, high school guardians and social minorities in nations with enormous minority populaces. ( www.nao.org.uk ) The Certain beginning broadened schools a kid care bunches esteem decent variety and is resolved to ensure that all people are dealt with sensibly with confidence and respect. It perceives the significance of all children to populate in a various, multi social society. It is submitted unnecessarily: Helping ensure that all Sure Start consideration administrations advance cultural incorporation through a positive beginning in juvenile children s lives. They are loosened to all follow too much and execute uniformity and consideration strategies processs and designs. Give fitting, important and available exercises. Flexibly a protected domain and a strong and inviting condition. ( Every Child Matters ) Research illuminates us that better outcomes for kids and their families rely upon coordinating of cosmopolitan administrations with focused and progressively particular guide and on passing on administrations together around the requests of the child and family unit. Youngsters and juvenile individuals will have logically customized consideration from wellbeing administrations in accordance with the measures of segment of Health s National Service model for kids, youthful individuals s and pregnancy administrations perceiving that administration bringing inside the Certain Start program should have been educated by inquire about grounds put together and focussed with respect to quality outcomes for kids and their family units. ( www.helensandersonassociates.co.uk ) The bearing leading group of Sure Start is comprised of neighborhood legal administrations, network organizations, religion gatherings and guardians it dispatched readiness and backing in individual focused assaults, individual focused arranging and to build up the develop of family unit vital way of life programs. Certain Start utilizes an individual focused assault this only methods working in a way that reflects values supporting individual focused arranging. There are other than a figure of reasonable apparatuses called individual focused moved toward that offer an alternate way of earning data about what is of import to individual, what they need for their from this point forward or what bolster they need. This is extremely not the same as normal evaluations. Experts can use individual focused assaults to larn increasingly about the children and family units they support yet in an alternate way. The main intrigue holders of Certain Start are kids younger than 4, the segment of Health and Social administrations and open security, guardians and organizations legal or private network or deliberate that work with speak to or flexibly administrations to kids and their families. An all gathering of MP s have been propelled to safeguard crafted by Certain beginning children s benefits inside parliament. The move is bit of a more extensive run by Children got Shout Out For A Sure Start, which is supported by Children A ; Young People Now and expects to propel crafted by Centers among family units each piece great as part great example. ( www.cypnow.co.uk ) Similarly as with any new idea there are all around hierarchical derivations that come manus in manus as there are with the Sure Start administration a portion of these are: Certain Start takes clasp and assets to create and drag out. Difficulties authoritative human progress and examples. Parental commitment in assurance conceiving plants in a figure of ways. Completely award supported program To drag out it at that spot will require to be committed assets and devoted staff. Approachs to parental commitment request to be inserted in design at each period of administration plan and bringing. Approaches should be ventured, adaptable, antiphonal assorted and on voyaging. ( www.sprc.unsw.edu.au/media//Report2_09_Lessons_from_Sure_Start.rtf ) The Sure Start administration requires proficient individuals from staff that are prepared and knowing to help achieve their finishes. As a Social Worker working inside this scene you would require to hold cognizance of the capacity of children s administrations perception of the neighborhood, foundation of nearby inhabitants, schools and other significant administrations for the nation. You would require to be conscious of the data sharing conventions and the limits around privacy. Information on the most proficient method to ensure your ain individual security. The limitations and limits of your capacity with the goal that referrals can be made at the suitable clasp. ( hypertext move convention:/www.dcsf.gov.uk/everychildmatters/earlyyears/surestart/thesurestartprinciples/standards/) The achievements the Social Worker would require travel manus in manus with the comprehension that is required. The Skills required is work delicately proactively and steadily with families in contesting fortunes. To have the option to move as an advocator for the family unit and to catch up undertakings raised both with families and different authorities. Have the option to think about basically your example and go about as an advocator to ensure safe example and occurrence trouble course. Have the option to advance and steer guardians/carers to collaborate decidedly with their children. The use of useful direction achievements would be acceptable and the interest to have the option to pass on and arraign great with family units an

Friday, August 21, 2020

Lab Report Of The Cells :: essays research papers

Presentation: The Cell, the essential basic unit of every living life form. A few cells are finished life forms, for example, the unicellular microorganisms and protozoa, others, for example, nerve, liver, and muscle cells, are specific parts of multicellular life forms. In another words, without cells we wouldn’t have the option to live or work accurately. There are Animal Cells and Plant Cells. In Biology class a few days ago we contemplated the Animal Cell. We were part into gatherings of our own and we each picked an alternate creature cell slide to watch. My gathering picked the slide,'; Smeared Frog Blood ';. Â Â Â Â Â The Animal Cell is somewhat not the same as the Plant Cell for just two or three reasons. One is the means by which the Plant Cell has a cell divider and the Animal Cell doesn’t. The cell divider ensures and offers structure to the cell. At that point there is the Nucleus, which fills in as a control place for the cell. Inside the Nucleus there are at least one Nucleoli. They are thick, granular bodies that vanish toward the start of cell division and return toward the end. At that point you have the Cytoplasm. This is the watery material existing in the cell between the cell film and the core. The Cytoplasm additionally contains organelles, which have explicit capacities in the cell digestion. At that point there are the Golgi Bodies, which fill in as preparing, bundling, and capacity for the phone. These organelles bundle and boat things out. Another pieces of the cell, a significant one actually, are the Lysosomes. These organelles are utilized to separate things and contain catalysts. Technique: First we set the slide under the basic magnifying lens and watched it at multiple times amplification level. We each alternated looking. We at that point replicated them as drawings into our Cornell note pads. After that we changed the amplification to multiple times and watched the slide. We each alternated looking. We at that point duplicated what we saw into our Cornell note pads. After that we changed the amplification level to multiple times and we each alternated taking a gander at the slide. We at that point replicated what we saw into our Cornell note pads and plunked down together. At the point when we were completely done drawing we talked about what we seen and gave each other thoughts on the best way to compose our Lab Reports. End: Taking everything into account I have seen that without cells we wouldn’t have the option to work or neither without cell hypothesis since we would not realize how to treat our body or our cells.

Friday, May 29, 2020

Confucius Lived In An Era - Free Essay Example

A philosopher, political figure, teacher, and forefather of the Ru School of Chinese thought, Confucius, also named Master Kong, was a fifth-century BCE Chinese thinker who influenced all of East Asia as becoming a culturally symbolic figure. Born in the city of Lu, present-day Qufu, in 551 BCE-479 BCE, Confucius was raised by a single mother. Growing up, Confucius lived his life with a broad set of competencies. He studied music and history, also, learned hunting, fishing, and archery (Arnold). Confucius grew to become a well- known philosopher whose teachings were recorded and persevered in a text called the Analects (a collection of his sayings). He formed the foundation of how the ideal human should be education and compassion for ones community and should live life in order to seek self-development, through important virtues, Jen and Li. Unpretentiously, Confucius states that he loves to learn and is a transmitter of wisdom from the ancient past ( Riegal, Confucius). He sees himself as a regular individual. Furthermore, Confucius lived in an era where the political frenzy in the government left society corrupt. Confucius believed that chaos and disorder were caused by the mistreatment and abuse of propriety. The time was one of political dissolution in which the unity of the Chou dynasty was eroded and small state conflict was dominant (Arnold, Confucius, and Confucianism). He ventured a life-long practice to restore the value of customs and to broadcast the rules of morality. In order to do so, one must set out to restore the community in which they live in and educate themselves to be a better human being. Confucius is shown using his method as he began his career as a teacher in his 20s. His teachings included history, poetry, divination, government, ethics, and music. From then on out, he became one of the greatest teachers of history. Later on in his career, he sought to be in public office. He started as a chief justice of the town of Chung-Tu. At the age of fifty, he worked as the post assistant administrator of public works and next transitioning as the Minster of Crime in Lu. After being forced to retire, due to jealousy, for the next twelve to thirteen years he sought after a new position with his faithful disciples by his side. Eventually, he found a new position and worked as an advisor for the Duke of Ai. By the age of seventy-three, Confucius had died, but his teachings had spread throughout East Asia and Chinese culture. To continue, the value of education plays a very important role in the philosophy of Confucianism. A man who educates themselves severs as a better contribution to society, therefore ties into the fact that one can better the community and prosper in self-development. Education aids as a key to self-development to eventually become a better civil servant to society. When a society is uneducated, the fundamental quality of peoples spirits and mood breaks down. Thus concludes with people becoming full of hate, uncaring, disrespectful and chaos can spread like a disease throughout the community. Confucianism is categorized as a system of social and ethical philosophy. Confucius stray away from this philosophy being named a religion. He doesnt refer to gods of any kind, or the concept of Heaven or Hell, nor the idea of reincarnation, compared to other religions. Nonetheless, Confucius was careful to instruct his students to never neglect or disrespect the offering due in heaven, and the Gods of other religions. Although he did not believe in them, he still gave them the utmost respect. Confucius focuses more on the changing of oneself by self-development, and from that, can improve the world in a better way. The goal of this philosophy is to alter into a better human, seeking harmony with nature, and involves cultivating a sense of ritual and becoming an educated man. Moreover, Confucianism has two virtues which can benefit from becoming the ultimate goal of Confucian: the superior man. Confucianism has a set of virtues one must follow Li and Jen. Li is described as social respectability and is the greatest principle of living. Li may also be specified as the middle way in all things. If and when a community lives by Li it runs easily and will prosper into a better community, filled with the better education system, a lower poverty and crime rate, and a stable and trustworthy government. Li is also demonstrated by the Five Relationships: magnanimity in our rulers, devotion in ministers and subjects, compassionate consideration in our elders, benevolence for our fathers, moral behavior in the husband, submission in the wife, courtesy of the eldest brother, respect in the younger, and admiration in juniors and loving goodness in the son. Some examples of Li would be using proper manners at a meal, having a certain respect for those who are older than you, and greeting someone in higher power with a bow. Jen is defined as altruism or Shu. This is helping others for merely the fact that you are helping and not to gain anything for ourselves. Jen is involving empathy, conscientiousness, selflessness. An example of Jen is living life with human-heartedness doing nice things out of the goodness of your heart rather than expecting something in return.

Saturday, May 16, 2020

Lifestyle Declaration in the Armed Services - 763 Words

In 1993 President Bill Clinton signed a law that set the policy of â€Å"don’t ask, don’t tell, don’t pursue, and don’t harass† when dealing with homosexuals serving in the Armed Services. The policy was a compromise to allow homosexuals to legally serve in the military as long as they did not declare their lifestyle or engage in conduct that was in violation of military good order and discipline. Supporters viewed the law as a step forward in achieving equal rights for homosexuals. Opponents remained concerned that the policy could jeopardize morale and unit effectiveness. â€Å"The Joint Chiefs, including the chairman, had all came out against the president on gays serving in the military† (Gates 440). Over time the military was able to adapt to the new policy and restore force readiness. In 2010 the â€Å"Don’t Ask, Don’t Tell† policy was repealed and homosexuals were given the opportunity to openly serve in the milita ry. The Joint Chiefs once again objected and questioned the timing of the change. Many believe the repeal was politically motivated and a bad idea that would add additional disruption to an already strained fighting force. Every new service member must go through Basic Training for up to 12 weeks depending on the branch of service. The purpose of Basic Training is to indoctrinate the new service member into the ways of military life. New service members are taught to work as a group and set aside their individual thoughts and ideas. Strict obedience to military standardsShow MoreRelatedWar : The War Of American Citizens, And For The Security Of The American Republic1679 Words   |  7 Pagesalliances, imperialism and most importantly pride were the reasons of the start of WWI. A pride for my country not much different than mine when I was eighteen, a pride called nationalism. This pride played a factor that eventually brought young American armed forces to Europe. With WWI completely underway, America was determined to be neutral in the conflict. President Woodrow Wilson addressed America driving home the stance in which she should be, â€Å"impartial in thought as well in action.† I ve alwaysRead MoreWhat Caused The Union Of Lose The Civil War?1139 Words   |  5 PagesCaused the Union to Lose the Civil War? By Amelia E. Hicks On April 10, 1865, General Ulysses S. Grant surrendered to General Robert E. Lee of Confederate forces and delivered a farewell address to his Union soldiers, â€Å"After four years of tiring service, marked by supreme courage and commitment,† said Grant, â€Å"the Union Army has been forced to concede to overwhelming numbers and resources.† According to Grant, the Union lost the Civil War, more commonly referred to in its time as the â€Å"War of NorthernRead MoreThe Death Penalty Of The United States Essay1631 Words   |  7 Pagesattempt to abolish the death penalty, although changes were made to the method and the circumstances of killing the accused criminal, it is still alive and well. Benjamin Rush, a prestigious man who is known for his involvement in the signing of the Declaration of Independence challenged the age-old idea that capital punishment served our country as a scare tactic. 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The fourth pillar is called the Sawm which means fasting during the month of Ramadan, and the fifth one known as Hajj is pilgrimage to Mecca, since the hajj is a set of ritualsRead MoreThe War On The United States Essay1759 Words   |  8 PagesDecember 7th 1941, the United States was blindsided by the Japanese in the worst attack on United States soil in history at the time. Without warning or even a declaration of war the Japanese attacked the Naval Station Pearl Harbor in Honolulu, Hawaii. The surprise attack destroyed and sunk two U.S. Navy battleships and severally damaged five others. The attacks also killed around 2,400 and injured around another 1,180. In return on December 8th, the next day, the United States declared war on JapanRead MoreFinancial Security, Education, Welfare, And The Freedom Essay2252 Words   |  10 Pagesdee ply in debt. This was partly due to the French alliance with the United States during the American Revolution from 1776-1781. The assistance France gave to the U.S. was a major part of the French government’s money problems, but the extravagant lifestyle of the royal family was also a contributing factor. In addition, the fall harvests of both 1787 and 1788 were very poor, and the winter of 1788-1789 was particularly harsh. To make matters worse, the population of France had increased by one-thirdRead MoreThe End Of French And Indian War1853 Words   |  8 Pagesin the colonies. The Stamp Act was a sinister conspiracy to enslave the colonials and deprive them of property and liberty. â€Æ' Essay #2 The revolutionary war in America during 1775 – 1783 was a revolution that the country had never seen before. This armed conflict between America and the Great Britain as well as its thirteen North American colonies, which called themselves as independent United States of America, led to early fighting on the North American continent. This conflict also escalated intoRead MoreThe End Of French And Indian War1854 Words   |  8 Pagesin the colonies. The Stamp Act was a sinister conspiracy to enslave the colonials and deprive them of property and liberty. â€Æ' Essay #2 The revolutionary war in America during 1775 – 1783 was a revolution that the country had never seen before. This armed conflict between America and the Great Britain as well as its thirteen North American colonies, which called themselves as independent United States of America, led to early fighting on the North American continent. This conflict also escalated intoRead MoreEssay about Early American Colonies2663 Words   |  11 PagesCharles II had to revoke the Charter that set up the colony as a result of non-compliance with navigation and trade laws. Strong religious views that coincided with a reverence for family and accountability for one’s own actions made for a strict lifestyle in the colony. 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Wednesday, May 6, 2020

From the day we are born we are categorized either a male...

From the day we are born we are categorized either a male or female. From that day onward society molds, and shapes us into what it means to be a man or women. Aaron Devor’s â€Å"Becoming Members of society: Learning The Social Meanings of Gender† discusses the formation of gender roles. Devor talks about how quickly children develop, and placed into their gender group.He also discusses about the gender role behaviors and attitudes . In Jamaica Kincaid’s ,†Girl†, Kincaid focussed on her relationship with her mother, mainly on the expectations her mother had for her. From the personal observations, examples from Devor and Kincaid’s passages, I see that gender roles are not rooted into our biology, but formed from expectations from society.†¦show more content†¦How we learn and interacted with gender as a young child directly influences how we view the world today. We are not born wanting to wear skirts or jeans, but we are taught at a young age by society that there is a right and wrong way to be someone. Many people may call my aunt stern for not allowing my cousin to wear jeans. But if my cousin was a guy ,and if the jean was a skirt, most people would understand my aunt for her actions. Men are expected to be rough, tough, emotionless, insensitive, and fearless. Devor says â€Å"North American society reserves highly valued attributes for males and actively supports the high evaluation of any characteristics which might inadvertently become associated with maleness.† Unlike males, females in general have a tendency to be less aggressive than males. This can be seen from Kincaid’s â€Å"girl† , the girl’s mother wanted her to be a â€Å"lady† and not a â€Å"slut.† To become a lady the mother had many expectations for her like: â€Å"this is how you smile to someone†, â€Å"this is how you iron your father’s khaki’s†, â€Å"be sure to wash everyday†, â€Å"don’t squat to play marbles.†(p.385) Our peers often shape who we are. Parents, friends, and siblings are constantly monitoring and correcting us. We do not develop understandings by ourselves, but we learn from others. Where we come from, where we grow up, who is around us greatly influence the type of person we become. Devor says â€Å" children absorb the generalized standardsShow MoreRelatedOne Significant Change That Has Occurred in the World Between 1900 and 2005. 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Tuesday, May 5, 2020

Treatment Of Chronic Stable Angina Pectoris -Myassignmenthelp.Com

Question: Discuss About The Treatment Of Chronic Stable Angina Pectoris? Answer: Introduction Arteriosclerosis is the condition leading to hardening of the arterial wall and restriction of the blood flow to different organs and tissues (Kuro-o, 2017). In contrast, atherosclerosis is a condition which leads to narrowing of arteries due to plaque buildup on the artery walls. Atherosclerosis can be regarded as a form of arteriosclerosis where elasticity of arteries are lost due to deposition of fatty plaques and other substance on the artery walls (Stone et al., 2014). The main pathophysiological difference between both the conditions is related to narrowing and hardening of arterial walls in respective conditions. NSTEMI (Non-segmented elevation myocardial infarction) and STEMI (ST-segment elevation myocardial infarction) are two common types of heart attacks where difference is found on the nature of waves detected in electrocardiogram (ECG) (Fanaroff et al., 2016). The difference in ECG characteristics for NSTEMI and STEMI are as follows: Depressed ST wave is found in NSTEMI and in STEMI, elevated ST waves are formed. No progression to Q wave is seen in NSTEMI, however progression to Q wave is seen STEMI condition The ECG characteristics of NSTEMI shows partial blockage of the coronary artery and in case of STEMI, full blockage in the coronary artery is found (Fanaroff et al., 2016). NSTEMI is the least commonly occurring heart attack compared to STEMI (McManus et al., 2011). Angina pectoris is a clinical term given for chest pain in patients with coronary heart disease. It occurs due to blockage of arteries and lack of appropriate blood flow to the heart muscle (Tarkin Kaski, 2013). The main difference between signs and symptoms of myocardial infarction and angina pectoris are as follows: Angina pectoris consists of many types such as stable angina, unstable angina, microvascular angina and Prinzmetals angina (Iqbal et al., 2016). In contrast, myocardial infarction consists of two types including NSTEMI and STEMI (Ludka et al., 2015). The main problem or sign in case of angina pectoris is intermittent chest pain (Katzung Chatterjee, 2012) and the main problem in myocardial infarction is tightness in the chest (Canto et al., 2012). The difference in symptoms of myocardial infarction and angina pectoris is that in case of angina pectoris, patients have pressing chest pain in the left side (Katzung Chatterjee, 2012). In myocardial infarction, the crushing chest pain is on the lower sternum (Canto et al., 2012). Preload and afterload are two terms used in cardiac physiology. Preload or left ventricular end-diastolic pressure is the end-diastolic volume found at the end of diastole. In contrast, afterload or systemic vascular resistance is the amount of resistance needed by heart to push the blood into systemic circulation. Preload is an event that occurs after the end of diastole whereas afterload is a condition that occurs during systole (Lao et al., 2015). One long term effect of hypertension includes increase in risk of stroke due to weakening of the arterial walls and blood vessels. The increased risk of cardiovascular disease occurs in patient with high blood pressure due to increase in pressure of blood flowing through the arteries. It damages the inner lining of the arterial walls (Mahmood et al., 2014). Hence, elasticity of arterial wall is lost creating conditions for development of stroke or other cardiovascular disease. Irregular blood flow to the heart due to narrowing down of arteries leads to chest pain and heart attack in patients (Dawber, Moore Mann, 2015). The artrioventricular node abnormalities are defined as the abnormalities in atrioventricular node leading to interruptions in the electrical conduction from atria to the ventricles (Temple et al., 2016). There are three degrees of atrioventricular blocks which are as follows: First degree block: It results in elongation of PR intervals and delay in atrial impulse. Here PR interval excess by 0.20 seconds Second degree block: It is associated with single non conduction of P wave or repetition of non conduction after PR interval Third degree block: No AV conduction occurs and atrial and ventricular impulses are not synchronous with each other (Luik et al., 2016). The main difference between left sided and right sides heart failure are as follows: In case of left sided heart failure, straining of left ventricle muscles is the reason for heart attack (Rosenkranz et al., 2015). However, in case of right sided heart failure, straining of the right ventricle is the main cause of heart attack (Melenovsky et al., 2014). Left sided failure is associated with severe breathlessness, anxiety, sweating and frothy sputum in cough (Rosenkranz et al., 2015). In case of right sided heart failure, nausea, vomiting, oedema and abdominal pain are the main symptoms (Melenovsky et al., 2014). Drug card for Nitroglycerin: Classification: Anti-anginal and nitrates Pharmacology and actions: It is a vasodilator, hence used for dilating coronary arteries and reducing preload and afterload. It also minimizes the myocardial oxygen demand. Indications: Oral and transdermal mainly used for acute angina and IV used for treatment of acute myocardial infarction Contraindications: Used cautiously when suffering from hypersensitivity, severe anemia, liver impairment, hypovolemia and patients with alcohol intolerance Precautions and side effects: Dizziness, weakness, hypotension and dry mouths are side effects of drugs. Interactions: It has interaction with nitrates in any form Administration: IV dose must be diluted in glass bottles. It must be diluted in 0.9% NaCl and in case of using in concentrated form, it must not exceed 400 mcg/ml. Use topically too. Consideration for drug use: Patients must be instructed about dosage and gradual reduction in dose instead of abrupt discontinuation of drug. Patient must be advised to change position slowly and report about any adverse side effects of the drug (Vallerand, Sanoski Deglin, 2016). Drug card for Digoxin (Lanoxin) Classification: Antiarrhythmics, inotropics Pharmacology and actions: It increased cardiac output by prolonging refractory period of AV node and increasing myocardial contraction. Indications: It is used for treatment of heart failure and atrial tachycardia Contraindications: Contraindicated in AV block, alcohol intolerance and uncontrolled ventricular arrhythmias. Precautions and side effects: Fatigue, weakness, blurred vision, arrhthymias and vomiting are some of the side effect of the drugs. Interactions: It has interaction with thiazide and loop diuretics, beta blockers and thyroid hormones Administration: The dose may vary for children of different age and adults. 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